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MARION COUNTY BUILDING iNSPECT:ON <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORF.(BON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am ge o ming work 0~ a prOgSr y OW~l Or' OCCupy. <br />[ em ~ ~eg~$te~'ed builder OR ( I the authorized representative <br /> <br />~[IG~A'"URE OF APPLICANT; , <br /> <br /> ~ : RESTDEN'rIAL <br />STRAW~h~ F'A¥ g. <br /> <br /> 672~ <br /> 6722 <br /> AIJHSVILL~ OR 97325 ~R!Ofl COUNTY j NO ~ .07o~' <br /> <br /> " VALUATION: <br /> PHON[: 749-2838 <br /> <br />TYPE= OH-SITE SEMRGE <br />PER)IT OR APPL)CATION HO: <br />CONTRACTOR. NO, <br />STRAWN. FAY W. <br />GAHE <br /> <br />PHONEs 749-28~8 <br /> <br />53858 <br /> <br />WATER SUPPLY: PW <br />TEST HOLEB <br />SITE EVALUATION NUMBER: <br />EXISTiN~ TANK SIZE~ <br />EXISTING DRAIN FIELD LINES: <br />SEPTI~ ~ANK PUHPED~ 2/~/~4 <br />PREVIOUS NO. BED~OQNS: <br /> <br /> Il'EM QUANTITY AMOUNT <br /> AUTHORIZATION NOTIC,E - FLD'~' VISIT . '' ' ' 1 $160.00 <br /> ':' .T'OTAL'ASSESSED.'FEE$ $1~0~00 <br /> -PRE¥~OU~RE~E~S <br /> <br /> SEE AT'rAO.;ED BOCUH[NT FQR: ~QU~REME~T~ 'OF Qfl~S[~E SEWAGE <br /> <br />OONSYRUCI ION ?~ILS TO: H~T .ALL ~E~U'IRE~ENTS 'OF STATE' LAW~':i A~ MARION COUNTY BUILDING AND <br />ZONING OR~INAN(.~S~ TH~ P~RNI'T ~HA~L B~.OHE NUbL 'AN9 VOID; <br /> <br />RF~^~'~'- SMALL 500 GAL SEPTIC TANK RECOMMEND PIJNI:~ING EVEI~Y 2 YEARS <br /> <br />DONALD E. WOOD[..EY, NARZON COUN'Ty 8(,IZLDING 'OFIrICIA'L / BY <br /> <br />OFFICE COPY <br /> <br /> <br />